HomeMy WebLinkAbout13-14847 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14�4`7
ELECTRICAL PERMIT °
Permit#:14847 Issued: 12/20/2013 Address: 37436 MARTINDALE AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: page;
Cost: 150.00 Total Fees: 40.00 Subdivision: VALLEYDALE RO ASSOCIATION
Amount Paid: 40.00 Date Paid: 12/20/201 Parcel Number: 03-26-21-0170-00000-1440
Name: REESE ELECTRICAL INC Name: LOOMIS THELMA
Addr: P.O. BOX 862 Address: 12215 CRUM RD
ZEPHYRHILLS,FL. 33539-0862 PLAINWELL MI 49080
Phone: (813)788-0091 Lic: Phone:
Work Desc: REPAIR LUG IN METER
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER -"'
FINAL � O'- J � ` 1 ;�
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REINSPECTION FEES: Reins � �� � �z 2�'_'
pection fees will comply with Florida Statute 553.80 2 c when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspection called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
`-��-�� ,--�-�____
CON T PER OF I
P�RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date ReceivecJ I YL._20� i�
Phone Contact for Permittin �g _ Q 0
Owner's Name L( �._-[7t�'n j� Owner Phone Number
Owner's Address 3��-�'3�o M Ct,�'}'��"�� Ow�er Phone Number
Fee Stmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 2,2 S O O_ q�(
JOB ADDRESS �� ' � �� �
LOT#
SUBDIVISION V C�l.1��.4 �(�,� PARCEL iD# O aJ-2.fp-2�- a{"'� —tjpp �p^ �t„�,�„��
(OBTAINED FR�OM pROPERTY T�nce)DEMOLISH
WORK PROPOSED B NEW CONSTR 8 ALT [� SIGN
INSTALL p
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME C� STEEL �
DESCRIPTION OF WORK c�,t{� �"'�,Q�-�-�� l U �� �
BUILDING SIZE SQ FOOTAGE C] HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
mELECTRICAL $ AMP SERVICE � �R��,��,`')
� S� • u;� C] W.R.E.C.
QPLUMBING �
C]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -�Y /L��''�`f� �
'/ ( (
�]GAS Q ROOFING Q SPECIALTY
C� OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILDER COMPANX
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
ELECTRICIAN Cr�./Y� ��- COMPANY �Q.Q�.Q- �)2L-�C.t�.-I ��-t.,
SIGNATURE REGISTERED / N FEE CURRE� Y/N
Address �DX ��p 2. {1"1��I� Tt„�j� License# �-��J�O��"�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Perm(t for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notartzed
If over 52500,a Notice of Commencement(s required. (A/C upgrades over s7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppUcaHon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTION Coune r gulat9ons. The undersigned a'ssu es esp ns bilbty for compl ance�tw th any
which may be more restrictive tha tY
applicable deed restrictions.
UNLICENSED CONTRACTOR h A ma beN qRu ed o be E ensedsi BacicoEdance th s ate and local egulations c Ifrthe
cont�actors to undertake work, y Y
cont�actor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvifoat{he
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
intended work, they are advised to has h�edea contractor torBcolntractorsp he'�s advised tolhave he cotntractor(s)s4g
8009. Furthermore, if the owne
portions of the "contractor Block" on that he'is nlot p opehy I censedl'and is not e tbtted t permitting privileges9n Pasco
contractor, that may be an mdicat
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ER onst usti n of neweb 9de gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existi�nerstalnd's9th t such fees,�asPmay be due, OI abe d nt�d at he tme of
90-07, as amended. The undersigned also un
permitting. It is further understood tha��nalS ower'eleaseaclf the p ojecRdoesrno Rnvolve a certifi atetof occ pancy or
receiving a °certificate of occupancy o p
final power release, the fees must b��Paerm t�ssuance in accordance with applicable Pasco County ord nanceser Impac
fees are due, ihey must be paid prio p
CONSTRUCTION LIEN LAW(Chapter�713,�Fided wsh a tcopy of he aF o�ida Construct on L en Law00Homeowner's
certify that I, the applicant, have bee p
Protection Guide" prepared by hat Ilhave obta ned a copy of'thetabove d scr bed docum'ent and prompse intgood fa'th to
other than the"owner", I certify
deliver it to the"owner"p�ior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIc ble law's regulatingeconst uction!zon ng anld la d developmentn Applica'tion is
will be done in compliance with all app
hereby made to obtain a permit to e°nW and that'alltwork will be perFoemed to meettstandards of all lawsllaegulating
commenced prior to issuance of a p
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I a so
certify that I understand that the regulatio�ust take to be in compliance.f S ch agencies i clude but are n t�l mi ed{o:it is
my responsibility to idenfify what actions I
Wetland Areas and Environmentally Sensitive
Department of Environmental Protection-Cypress Bayheads,
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Fede�al Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a p
rofessional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wa
construction, I certify that fill will be used only to fill the area within the stem wall.
_ If fill material is to be used in any areSe� affect adjacent prope�t esf'the''owner mayrbe'cit d for vaolat ng
prope�ties. If use of fill is found to adver y
the conditions of the building permit !S eered daa nage p an se equ red application, for lots less than one (1
acre which are elevated by fill, an engin
If I am the AGENT FOR THE OWNER, I promise in 9�e�standhthat a�separat permit may be equired for'electr ct I work�,
this affidavit prior to commencing construction. I un lication
plumbing, signs, welts, pools, air conditioning, gas, or other installations not specifically included in the app
permit issued shall be construed to be a license to shall ssuaincehof a pe mitprevent thehB i ding Officeal from therteafter
set aside any provisions of the technical codes, nor
re uiring a correction of errors in plans, construction or��a w�thin si amonths of perm t p sua'nce uo aif wolrk authori ed bn
q ermit is commence
unless the work authorized by such p gp da s and will demonstrate
the permit is suspended or abandoned for a pn����c al fo6a per od notttohexc'edtnin tyr( �s)co ymenced. An ex ensio
may be requested, in writing, from the Bwldi g
justifiable cause for the extension, If work ceases for ninety(90)consecutive days,the job is considered abandoiN YOUR
WARNING TO OWNER: YOUR FAILURE TO UR PROP RTl(.T�F YOU INTE D TO BTA N F�INANCSNG CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO N EMENT.
FLORIDA JURAT(F.S.117•03) 4
CONTRACTOR � this
pWNER OR AGENT Subscribed and swom to(or afflrmed
Subscribed and sworn to(or affirmed)before me thfs bY
by yVho�sla�e personally knovm to me or haslhave produced
Who is personally knovm to mas tdentl c�o�roduced
as identlficafion.
���/� Notary Public
Notary Public �'
Commtssio ""' OGES
Commissfon Na. � � :'.= COm1Y1iSSion#
Name of N ry;. �2,2014
ed, rfnted or stamped �T�YF��&���5'1019
Name of Notary tyP P